%0 Journal Article
%T Utilizing leadership to achieve high reliability in the delivery of perinatal care
%A Parrotta C
%A Riley W
%A Meredith L
%J Journal of Healthcare Leadership
%D 2012
%I Dove Medical Press
%R http://dx.doi.org/10.2147/JHL.S28747
%X ilizing leadership to achieve high reliability in the delivery of perinatal care Review (1005) Total Article Views Authors: Parrotta C, Riley W, Meredith L Published Date November 2012 Volume 2012:4 Pages 157 - 163 DOI: http://dx.doi.org/10.2147/JHL.S28747 Received: 13 July 2012 Accepted: 23 August 2012 Published: 01 November 2012 Carmen Parrotta,1 William Riley,1 Les Meredith2 1School of Public Health, University of Minnesota, Minneapolis, MN, 2Premier Insurance Management Services Inc, Charlotte, NC, USA Abstract: Highly reliable care requires standardization of clinical practices and is a prerequisite for patient safety. However, standardization in complex hospital settings is extremely difficult to attain and health care leaders are challenged to create care delivery processes that ensure patient safety. Moreover, once high reliability is achieved in a hospital unit, it must be maintained to avoid process deterioration. This case study examines an intervention to implement care bundles (a collection of evidence-based practices) in four hospitals to achieve standardized care in perinatal units. The results show different patterns in the rate and magnitude of change within the hospitals to achieve high reliability. The study is part of a larger nationwide study of 16 hospitals to improve perinatal safety. Based on the findings, we discuss the role of leadership for implementing and sustaining high reliability to ensure freedom from unintended injury.
%K care bundles
%K evidence-based practice
%K standardized care
%K process improvement
%U https://www.dovepress.com/utilizing-leadership-to-achieve-high-reliability-in-the-delivery-of-pe-peer-reviewed-article-JHL